Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.14 / $544.14 / $544.14	Facility		$544.14	$544.14	$544.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,121.69 / $2,121.69 / $2,121.69	Facility	50	$2,121.69	$2,121.69	$2,121.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.88 / $151.02 / $273.51	Professional		$84.88	$151.02	$273.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.57 / $112.57 / $121.29	Professional		$112.57	$112.57	$121.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $122.02 / $513.90	Facility		$103.71	$122.02	$513.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.60 / $161.19 / $295.64	Professional		$86.60	$161.19	$295.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $209.45 / $295.82	Professional		$173.02	$209.45	$295.82
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.36 / $168.06 / $315.20	Professional		$89.36	$168.06	$315.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $103.02 / $134.33 / $209.45	Professional		$103.02	$134.33	$209.45